Food groups and risk of coronary heart disease, stroke and heart failure: A systematic review and dose-response meta-analysis of prospective studies
- PMID: 29039970
- DOI: 10.1080/10408398.2017.1392288
Food groups and risk of coronary heart disease, stroke and heart failure: A systematic review and dose-response meta-analysis of prospective studies
Abstract
Background: Despite growing evidence for food-based dietary patterns' potential to reduce cardiovascular disease risk, knowledge about the amounts of food associated with the greatest change in risk of specific cardiovascular outcomes and about the quality of meta-evidence is limited. Therefore, the aim of this meta-analysis was to synthesize the knowledge about the relation between intake of 12 major food groups (whole grains, refined grains, vegetables, fruits, nuts, legumes, eggs, dairy, fish, red meat, processed meat, and sugar-sweetened beverages [SSB]) and the risk of coronary heart disease (CHD), stroke and heart failure (HF).
Methods: We conducted a systematic search in PubMed and Embase up to March 2017 for prospective studies. Summary risk ratios (RRs) and 95% confidence intervals (95% CI) were estimated using a random effects model for highest versus lowest intake categories, as well as for linear and non-linear relationships.
Results: Overall, 123 reports were included in the meta-analyses. An inverse association was present for whole grains (RRCHD: 0.95 (95% CI: 0.92-0.98), RRHF: 0.96 (0.95-0.97)), vegetables and fruits (RRCHD: 0.97 (0.96-0.99), and 0.94 (0.90-0.97); RRstroke: 0.92 (0.86-0.98), and 0.90 (0.84-0.97)), nuts (RRCHD: 0.67 (0.43-1.05)), and fish consumption (RRCHD: 0.88 (0.79-0.99), RRstroke: 0.86 (0.75-0.99), and RRHF: 0.80 (0.67-0.95)), while a positive association was present for egg (RRHF: 1.16 (1.03-1.31)), red meat (RRCHD: 1.15 (1.08-1.23), RRstroke: 1.12 (1.06-1.17), RRHF: 1.08 (1.02-1.14)), processed meat (RRCHD: 1.27 (1.09-1.49), RRstroke: 1.17 (1.02-1.34), RRHF: 1.12 (1.05-1.19)), and SSB consumption (RRCHD: 1.17 (1.11-1.23), RRstroke: 1.07 (1.02-1.12), RRHF: 1.08 (1.05-1.12)) in the linear dose-response meta-analysis. There were clear indications for non-linear dose-response relationships between whole grains, fruits, nuts, dairy, and red meat and CHD.
Conclusion: An optimal intake of whole grains, vegetables, fruits, nuts, legumes, dairy, fish, red and processed meat, eggs and SSB showed an important lower risk of CHD, stroke, and HF.
Keywords: Cardiovascular; coronary heart disease; diet; dose-response; food; heart failure; meta-analysis; stroke.
Similar articles
-
Food groups and risk of type 2 diabetes mellitus: a systematic review and meta-analysis of prospective studies.Eur J Epidemiol. 2017 May;32(5):363-375. doi: 10.1007/s10654-017-0246-y. Epub 2017 Apr 10. Eur J Epidemiol. 2017. PMID: 28397016 Free PMC article. Review.
-
Food Groups and Risk of Hypertension: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies.Adv Nutr. 2017 Nov 15;8(6):793-803. doi: 10.3945/an.117.017178. Print 2017 Nov. Adv Nutr. 2017. PMID: 29141965 Free PMC article. Review.
-
Food groups and risk of all-cause mortality: a systematic review and meta-analysis of prospective studies.Am J Clin Nutr. 2017 Jun;105(6):1462-1473. doi: 10.3945/ajcn.117.153148. Epub 2017 Apr 26. Am J Clin Nutr. 2017. PMID: 28446499 Review.
-
Maternal Diet during Pregnancy and Lactation and Risk of Child Food Allergies and Atopic Allergic Diseases: A Systematic Review [Internet].Alexandria (VA): USDA Nutrition Evidence Systematic Review; 2020 Jul. Alexandria (VA): USDA Nutrition Evidence Systematic Review; 2020 Jul. PMID: 35289989 Free Books & Documents. Review.
-
Is replacing red meat with other protein sources associated with lower risks of coronary heart disease and all-cause mortality? A meta-analysis of prospective studies.Nutr Rev. 2022 Aug 8;80(9):1959-1973. doi: 10.1093/nutrit/nuac017. Nutr Rev. 2022. PMID: 35380734
Cited by
-
Substitution of Dairy Products and Risk of Death and Cardiometabolic Diseases: A Systematic Review and Meta-Analysis of Prospective Studies.Curr Dev Nutr. 2024 Apr 23;8(5):102159. doi: 10.1016/j.cdnut.2024.102159. eCollection 2024 May. Curr Dev Nutr. 2024. PMID: 38779038 Free PMC article. Review.
-
Estimating effects of whole grain consumption on type 2 diabetes, colorectal cancer and cardiovascular disease: a burden of proof study.Nutr J. 2024 May 14;23(1):49. doi: 10.1186/s12937-024-00957-x. Nutr J. 2024. PMID: 38741117 Free PMC article.
-
Social Media for Nutrition Education-A Randomized Controlled Trial to Promote Fruit and Vegetable Intake in a University Setting: "The University of Valladolid Community Eats Healthy" Study.Nutrients. 2024 Apr 26;16(9):1308. doi: 10.3390/nu16091308. Nutrients. 2024. PMID: 38732555 Free PMC article. Clinical Trial.
-
Challenges and opportunities when moving food production and consumption toward sustainable diets in the Nordics: a scoping review for Nordic Nutrition Recommendations 2023.Food Nutr Res. 2024 Apr 15;68. doi: 10.29219/fnr.v68.10489. eCollection 2024. Food Nutr Res. 2024. PMID: 38716354 Free PMC article. Review.
-
Effects of red meat taxes and warning labels on food groups selected in a randomized controlled trial.Int J Behav Nutr Phys Act. 2024 Apr 15;21(1):39. doi: 10.1186/s12966-024-01584-9. Int J Behav Nutr Phys Act. 2024. PMID: 38622655 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials
Miscellaneous